RU2017117153A - Apparatus and method for identifying the type of endoscope and ensuring optimal reprocessing - Google Patents

Apparatus and method for identifying the type of endoscope and ensuring optimal reprocessing Download PDF

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Publication number
RU2017117153A
RU2017117153A RU2017117153A RU2017117153A RU2017117153A RU 2017117153 A RU2017117153 A RU 2017117153A RU 2017117153 A RU2017117153 A RU 2017117153A RU 2017117153 A RU2017117153 A RU 2017117153A RU 2017117153 A RU2017117153 A RU 2017117153A
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channels
channel
profile
valves
fluid
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RU2017117153A
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Russian (ru)
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Сунгвоок ЯНГ
Гарольд Р. ВИЛЛЬЯМС
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Этикон, Инк.
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/12—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
    • A61B1/121—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use
    • A61B1/123—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use using washing machines
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/70—Cleaning devices specially adapted for surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00004—Operational features of endoscopes characterised by electronic signal processing
    • A61B1/00006—Operational features of endoscopes characterised by electronic signal processing of control signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00057—Operational features of endoscopes provided with means for testing or calibration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00002—Operational features of endoscopes
    • A61B1/00059—Operational features of endoscopes provided with identification means for the endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/12—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
    • A61B1/121—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use
    • A61B1/125—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning post-use using fluid circuits
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/16—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/16—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using chemical substances
    • A61L2/18—Liquid substances or solutions comprising solids or dissolved gases
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/24—Apparatus using programmed or automatic operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/26—Accessories or devices or components used for biocidal treatment
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B08—CLEANING
    • B08B—CLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B3/00—Cleaning by methods involving the use or presence of liquid or steam
    • B08B3/04—Cleaning involving contact with liquid
    • B08B3/08—Cleaning involving contact with liquid the liquid having chemical or dissolving effect
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B08—CLEANING
    • B08B—CLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B9/00—Cleaning hollow articles by methods or apparatus specially adapted thereto 
    • B08B9/02—Cleaning pipes or tubes or systems of pipes or tubes
    • B08B9/027—Cleaning the internal surfaces; Removal of blockages
    • B08B9/032—Cleaning the internal surfaces; Removal of blockages by the mechanical action of a moving fluid, e.g. by flushing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/70—Cleaning devices specially adapted for surgical instruments
    • A61B2090/701—Cleaning devices specially adapted for surgical instruments for flexible tubular instruments, e.g. endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/70—Cleaning devices specially adapted for surgical instruments
    • A61B2090/702—Devices for testing the cleaning process, e.g. test soils
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10—Apparatus features
    • A61L2202/14—Means for controlling sterilisation processes, data processing, presentation and storage means, e.g. sensors, controllers, programs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10—Apparatus features
    • A61L2202/16—Mobile applications, e.g. portable devices, trailers, devices mounted on vehicles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/10—Apparatus features
    • A61L2202/17—Combination with washing or cleaning means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2202/00—Aspects relating to methods or apparatus for disinfecting or sterilising materials or objects
    • A61L2202/20—Targets to be treated
    • A61L2202/24—Medical instruments, e.g. endoscopes, catheters, sharps

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Epidemiology (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Chemical & Material Sciences (AREA)
  • Mechanical Engineering (AREA)
  • Signal Processing (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Endoscopes (AREA)
  • Instruments For Viewing The Inside Of Hollow Bodies (AREA)

Claims (39)

1. Аппарат для обработки медицинского инструмента посредством пропускания моющего средства и дезинфицирующего средства через множество каналов, образованных медицинским инструментом, причем аппарат содержит:1. An apparatus for processing a medical instrument by passing detergent and a disinfectant through a plurality of channels formed by a medical instrument, the apparatus comprising: (a) систему обнаружения, выполненную с возможностью сбора информации о каналах медицинского инструмента;(a) a detection system configured to collect information about the channels of the medical instrument; (b) набор профилей инструментов и(b) a set of tool profiles and (c) систему управления, выполненную с возможностью пропускания моющего средства и дезинфицирующего средства через каналы медицинского инструмента, по меньшей мере, частично на основании выбранного профиля инструмента, выбранного из набора профилей инструментов, при этом выбранный профиль инструмента выбран, по меньшей мере, частично на основании информации, собранной системой обнаружения.(c) a control system adapted to allow the passage of detergent and disinfectant through the channels of the medical instrument, at least partially based on the selected instrument profile selected from the set of instrument profiles, wherein the selected instrument profile is selected at least partially on Based on information collected by the detection system. 2. Аппарат по п. 1, в котором система обнаружения дополнительно содержит датчик, выполненный с возможностью сбора информации о каждом канале из множестве каналов.2. The apparatus of claim 1, wherein the detection system further comprises a sensor configured to collect information about each channel from the plurality of channels. 3. Аппарат по п. 2, в котором датчик выполнен с возможностью определения скорости потока текучей среды, проходящей через каждый канал из множества каналов, при заданном давлении.3. The apparatus of claim 2, wherein the sensor is configured to determine a flow rate of a fluid passing through each channel from a plurality of channels at a given pressure. 4. Аппарат по п. 3, в котором система обнаружения дополнительно содержит датчик низкого потока, предназначенный для выбранного канала во множестве каналов.4. The apparatus of claim 3, wherein the detection system further comprises a low flow sensor for a selected channel in a plurality of channels. 5. Аппарат по п. 2, в котором датчик выполнен с возможностью определения скорости потока текучей среды через каждый канал из множества каналов при прохождении через каналы заданного объема текучей среды.5. The apparatus of claim 2, wherein the sensor is configured to determine a fluid flow rate through each channel of the plurality of channels while passing through the channels of a predetermined volume of fluid. 6. Аппарат по п. 1, дополнительно содержащий набор профилей обработки, причем каждый профиль инструмента в наборе профилей инструментов связан с соответствующим профилем обработки в наборе профилей обработки.6. The apparatus according to claim 1, further comprising a set of processing profiles, wherein each tool profile in the set of tool profiles is associated with a corresponding processing profile in the set of processing profiles. 7. Аппарат по п. 6, в котором система управления выполнена с возможностью обработки медицинского инструмента, по меньшей мере, частично на основании профиля обработки, связанного с выбранным профилем инструмента.7. The apparatus of claim 6, wherein the control system is configured to process the medical instrument, at least in part, on the basis of the processing profile associated with the selected instrument profile. 8. Аппарат по п. 1, в котором система обнаружения дополнительно содержит множество клапанов в соединении с блоком управления, причем каждый клапан из множества клапанов связан с соответствующим каналом из множества каналов, при этом каждый клапан из множества клапанов выполнен с возможностью открытия и закрытия системой управления.8. The apparatus of claim 1, wherein the detection system further comprises a plurality of valves in connection with a control unit, wherein each valve of the plurality of valves is connected to a corresponding channel of the plurality of channels, wherein each valve of the plurality of valves is configured to be opened and closed by a system management. 9. Аппарат по п. 8, в котором один элемент из системы управления или системы обнаружения выполнен с возможностью приведения в действие, по меньшей мере, одного клапана из множества клапанов при подготовке к сбору информации об определенном канале из множества каналов.9. The apparatus of claim 8, wherein one element from the control system or the detection system is configured to actuate at least one valve from the plurality of valves in preparation for collecting information about a particular channel from the plurality of channels. 10. Аппарат по п. 8, в котором система обнаружения выполнена с возможностью определения неисправности любого клапана из множества клапанов.10. The apparatus of claim 8, wherein the detection system is configured to detect a malfunction of any valve of the plurality of valves. 11. Аппарат по п. 10, в котором для определения неисправности любого клапана из множества клапанов система обнаружения выполнена с возможностью:11. The apparatus according to p. 10, in which to determine the malfunction of any valve from a plurality of valves, the detection system is configured to: (i) инициации команды закрытия каждому клапану из множества клапанов и(i) initiating a closing command to each valve of the plurality of valves; and (ii) определения того, закрыт ли каждый клапан из множества клапанов.(ii) determining whether each valve in the plurality of valves is closed. 12. Аппарат по п. 10, в котором каждый клапан из множества клапанов расположен в соответствующем соединителе из множества соединителей, причем каждый соединитель из множества соединителей выполнен с возможностью соединения, по меньшей мере, с одним из каналов из множества каналов.12. The apparatus of claim 10, wherein each valve of the plurality of valves is located in a respective connector of the plurality of connectors, wherein each connector of the plurality of connectors is configured to connect to at least one of the channels of the plurality of channels. 13. Аппарат по п. 1, в котором система управления выполнена с возможностью идентификации открытого элеваторного канала из множества каналов.13. The apparatus of claim 1, wherein the control system is configured to identify an open elevator channel from a plurality of channels. 14. Аппарат по п. 1, дополнительно содержащий насос, выполненный с возможностью подачи текучей среды в каждый канал из множества каналов.14. The apparatus of claim 1, further comprising a pump configured to supply fluid to each channel from the plurality of channels. 15. Аппарат по п. 1, в котором набор профилей инструментов хранится в памяти, причем система управления имеет доступ к памяти.15. The apparatus of claim 1, wherein the set of tool profiles is stored in memory, the control system having access to the memory. 16. Способ автоматического определения типа инструмента, помещенного в аппарат для обработки медицинских инструментов, содержащий этапы, на которых:16. A method for automatically determining the type of instrument placed in the apparatus for processing medical instruments, comprising stages in which: (a) определяют параметр текучей среды для каждого канала во множестве каналов, образованных инструментом;(a) determining a fluid parameter for each channel in a plurality of channels formed by the tool; (b) идентифицируют, по меньшей мере, частично на основании параметра текучей среды для каждого канала из множества каналов, профиль инструмента, связанный с медицинским инструментом; и(b) identifying, at least in part, based on a fluid parameter for each channel of the plurality of channels, an instrument profile associated with a medical instrument; and (c) выполняют очистку и/или дезинфекцию каналов медицинского инструмента, по меньшей мере, частично на основании идентифицированного профиля инструмента.(c) cleaning and / or disinfecting the channels of the medical instrument, at least in part, based on the identified profile of the instrument. 17. Способ по п. 16, дополнительно содержащий этапы, на которых:17. The method according to p. 16, further comprising stages in which: (a) выбирают канал из множества каналов; (a) selecting a channel from a plurality of channels; (b) предотвращают попадание текучей среды в невыбранные каналы;(b) prevent fluid from entering unselected channels; (c) обеспечивают прохождение текучей среды по выбранному каналу; и(c) allow fluid to flow through the selected channel; and (d) собирают информацию о скорости потока текучей среды, проходящей по выбранному каналу.(d) collecting information on the flow rate of the fluid passing through the selected channel. 18. Способ по п. 17, дополнительно содержащий этапы, на которых:18. The method of claim 17, further comprising the steps of: (a) идентифицируют выбранный канал как открытый элеваторный канал, по меньшей мере, частично на основании собранной информации о текучей среде, проходящей в выбранный канал; и(a) identifying the selected channel as an open elevator channel, at least in part, based on the collected fluid information flowing into the selected channel; and (b) обрабатывают выбранный канал как открытый элеваторный канал.(b) treating the selected channel as an open elevator channel. 19. Способ по п. 16, дополнительно содержащий этапы, на которых:19. The method according to p. 16, further comprising stages in which: (a) выбирают профиль обработки из множества профилей обработки, по меньшей мере, частично на основании идентифицированного профиля инструмента; и(a) selecting a machining profile from a plurality of machining profiles, at least in part based on the identified tool profile; and (b) обрабатывают медицинский инструмент, по меньшей мере, частично на основании выбранного профиля обработки.(b) treating the medical instrument at least partially based on the selected processing profile. 20. Способ обработки эндоскопа, содержащий этапы, на которых:20. A method for processing an endoscope, comprising the steps of: (a) собирают информацию о потоке текучей среды для каждого канала из множества каналов, образованных эндоскопом, для определения набора характеристик, связанных с эндоскопом;(a) collecting fluid flow information for each channel from a plurality of channels formed by the endoscope to determine a set of characteristics associated with the endoscope; (b) на основании набора характеристик выбирают профиль обработки из множества профилей обработки; и(b) based on a set of characteristics, a processing profile is selected from a plurality of processing profiles; and (c) выполняют очистку и/или дезинфекцию эндоскопа на основании выбранного профиля обработки.(c) performing cleaning and / or disinfection of the endoscope based on the selected processing profile.
RU2017117153A 2016-05-18 2017-05-17 Apparatus and method for identifying the type of endoscope and ensuring optimal reprocessing RU2017117153A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US15/157,650 2016-05-18
US15/157,650 US20170332891A1 (en) 2016-05-18 2016-05-18 Apparatus and method to identify endoscope type and provide tailored reprocessing

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CN107397595A (en) 2017-11-28
KR20170130303A (en) 2017-11-28
CA2966368A1 (en) 2017-11-18
MX2017006555A (en) 2018-08-28
TW201808232A (en) 2018-03-16
BR102017010269A2 (en) 2018-10-30
DK3245938T3 (en) 2019-07-22
AU2017203003A1 (en) 2017-12-07
JP2017205520A (en) 2017-11-24
EP3245938A1 (en) 2017-11-22
US20170332891A1 (en) 2017-11-23
JP6965023B2 (en) 2021-11-10
ES2732429T3 (en) 2019-11-22
EP3245938B1 (en) 2019-05-01

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